MARYVILLE NURS 623 QUESTION WELL
TACKLED 2023/2024
Which of the serum laboratory findings are present in the client with Cushing's syndrome? - ANSWERS
Increased cortisol, HYPERnatremia, and HYPOkalemia
Alice, age 48, has a benign thyroid nodule. The most common treatment involves: - ANSWERS Watchful
waiting with an annual follow-up
ACE inhibitors are given to clients with diabetes who have - ANSWERS persistent proteinuria
A newly diagnosed client with diabetes who has an HbA1c of 7.5 is started on therapeutic lifestyle
changes (TLC) and medical nutritional therapy (MNT). Which oral antidiabetic agent is recommended as
monotherapy? - ANSWERS metformin
An elderly client with hyperthyroidism may present with atypical symptoms. Which of the following
manifestations are commonly seen in the elderly with hyperthyroidism? - ANSWERS a-fib, depression,
weight loss
Diane has had Cushing's disease for 20 years and has been taking hydrocortisone since her diagnosis.
Today, she appears with a thick trunk and thin extremities. She has a "moon face," a "buffalo hump,"
thin skin with visible capillaries, and a number of bruises that appear to be slow in healing. To what do
you attribute these symptoms? - ANSWERS excessive levels of cortisol
, The following is a client's self-monitoring blood glucose log. The client receives 20 units Novolin 70/30 in
the morning (a.m.) and 20 units Novolin 70/30 in the evening (p.m.): Fasting a.m. pre-dinner: 90, 150,
105, 144, 101, 172, 98, 201. What changes would you make? - ANSWERS increase A.M. insulin
Dan, age 45, is obese and has type 2 diabetes. He has been having trouble getting his glycohemoglobin
under control. He's heard that exenatide (Byetta) causes weight loss and wants to try it. What do you
tell him? - ANSWERS "Let's try it. You're glycohemoglobin will be lowered and you may lose weight."
Which is the only treatment option that is curative for primary hyperparathyroidism? - ANSWERS
parathyroidectomy
The most common worldwide cause of hypothyroidism is: - ANSWERS iodine deficiency
What should be assessed for during exam on pt with HYPOparathyroidism? - ANSWERS chvostek's sign
Morton has Type 2 diabetes. His treatment, which includes diet, exercise, and oral antidiabetic agents, is
insufficient to achieve acceptable glycemic control. Your next course of action is to - ANSWERS ADD
LONG-ACTING INSULIN
Joy has gout. In teaching her about her disease, which food do you tell her is allowed in her diet? -
ANSWERS Broccoli
What controls the amount of calcium in the blood? - ANSWERS Parathyroid
Thyroid hormones regulate - ANSWERS metabolism
Which tests should you order to confirm a diagnosis of hypothyroidism? - ANSWERS t3 & Free T4
(preferred over T4)
TACKLED 2023/2024
Which of the serum laboratory findings are present in the client with Cushing's syndrome? - ANSWERS
Increased cortisol, HYPERnatremia, and HYPOkalemia
Alice, age 48, has a benign thyroid nodule. The most common treatment involves: - ANSWERS Watchful
waiting with an annual follow-up
ACE inhibitors are given to clients with diabetes who have - ANSWERS persistent proteinuria
A newly diagnosed client with diabetes who has an HbA1c of 7.5 is started on therapeutic lifestyle
changes (TLC) and medical nutritional therapy (MNT). Which oral antidiabetic agent is recommended as
monotherapy? - ANSWERS metformin
An elderly client with hyperthyroidism may present with atypical symptoms. Which of the following
manifestations are commonly seen in the elderly with hyperthyroidism? - ANSWERS a-fib, depression,
weight loss
Diane has had Cushing's disease for 20 years and has been taking hydrocortisone since her diagnosis.
Today, she appears with a thick trunk and thin extremities. She has a "moon face," a "buffalo hump,"
thin skin with visible capillaries, and a number of bruises that appear to be slow in healing. To what do
you attribute these symptoms? - ANSWERS excessive levels of cortisol
, The following is a client's self-monitoring blood glucose log. The client receives 20 units Novolin 70/30 in
the morning (a.m.) and 20 units Novolin 70/30 in the evening (p.m.): Fasting a.m. pre-dinner: 90, 150,
105, 144, 101, 172, 98, 201. What changes would you make? - ANSWERS increase A.M. insulin
Dan, age 45, is obese and has type 2 diabetes. He has been having trouble getting his glycohemoglobin
under control. He's heard that exenatide (Byetta) causes weight loss and wants to try it. What do you
tell him? - ANSWERS "Let's try it. You're glycohemoglobin will be lowered and you may lose weight."
Which is the only treatment option that is curative for primary hyperparathyroidism? - ANSWERS
parathyroidectomy
The most common worldwide cause of hypothyroidism is: - ANSWERS iodine deficiency
What should be assessed for during exam on pt with HYPOparathyroidism? - ANSWERS chvostek's sign
Morton has Type 2 diabetes. His treatment, which includes diet, exercise, and oral antidiabetic agents, is
insufficient to achieve acceptable glycemic control. Your next course of action is to - ANSWERS ADD
LONG-ACTING INSULIN
Joy has gout. In teaching her about her disease, which food do you tell her is allowed in her diet? -
ANSWERS Broccoli
What controls the amount of calcium in the blood? - ANSWERS Parathyroid
Thyroid hormones regulate - ANSWERS metabolism
Which tests should you order to confirm a diagnosis of hypothyroidism? - ANSWERS t3 & Free T4
(preferred over T4)
